Database Engineering & Data Architecture

  • Design, develop, optimize, and maintain SQL-based data structures, stored procedures, views, functions, staging tables, and reporting-ready data layers.
  • Support SQL Server, Azure SQL, and Snowflake-style data environments used for transactional, analytical, and reporting workflows.
  • Improve database performance through indexing, query optimization, partitioning, archival strategies, and execution plan review.
  • Implement reliable backup, retention, and recovery practices for critical data repositories and integration databases.

ETL / ELT Pipeline Development

  • Build and maintain ETL/ELT pipelines that ingest data from PMS, EHR, payer, vendor, and internal operational systems.
  • Develop transformation logic for charges, payments, adjustments, denials, AR, encounters, CPT/ICD/HCPCS, provider, department, and practice-level data elements.
  • Create reusable data pipeline patterns for new practice onboarding and recurring data refreshes.
  • Implement error handling, retry logic, logging, alerting, and reconciliation checkpoints across integration workflows.

System Integration Ownership

  • Lead end-to-end integration design for source-system connectivity, mapping, validation, and downstream consumption.
  • Work with REST APIs, flat-file transfers, database extracts, scheduled jobs, automation outputs, and vendor data feeds.
  • Translate business requirements into data contracts, mapping documents, technical specifications, and implementation plans.
  • Partner with application and automation teams to ensure data from integrations is usable by internal tools and workflows.

Data Quality, Validation & Reconciliation

  • Perform root cause analysis for missing records, duplicate records, incorrect counts, refresh timing issues, source-to-target mismatches, and dashboard discrepancies.
  • Create validation queries and exception reports to compare source-system data against Snowflake/SQL/reporting layers.
  • Define key matching logic using identifiers such as account number, encounter ID, claim ID, CPT, posting date, service date, provider, payer, and practice identifiers.
  • Document known limitations, assumptions, dependencies, and remediation steps for recurring data issues.

Analytics, Dashboard & AI Data Enablement

  • Prepare reliable data models and datasets for Tableau, internal Insights platforms, operational dashboards, and AI/ML use cases.
  • Support reporting datasets for AR, KPI, denial, eligibility, charge/payment/adjustment, and practice-level operational reporting.
  • Collaborate with visualization teams to align dashboard definitions, refresh timing, filters, drill-down tables, and reconciliation logic.
  • Support curated datasets for AI-assisted workflows while following data governance, privacy, and compliance requirements.

Production Monitoring & Incident Response

  • Monitor integration health, scheduled jobs, data loads, storage consumption, performance bottlenecks, and job failures.
  • Respond to production incidents with clear triage, impact analysis, stakeholder updates, corrective action, and permanent fix recommendations.
  • Implement proactive notifications for completed, failed, delayed, or partially loaded pipeline runs.
  • Maintain operational runbooks and handover documentation for critical systems and recurring production activities.

Practice Onboarding & Cross-Functional Collaboration

  • Participate in knowledge transfer sessions for new practices and source-system integrations.
  • Assess feasibility, identify data availability gaps, and define technical prerequisites before implementation begins.
  • Coordinate with operations, product owners, developers, automation engineers, dashboard developers, vendors, and business stakeholders.
  • Provide clear, timely updates on integration status, risks, blockers, and data quality issues.